DWP contractors have begun employing pharmacists and speech and language therapists to carry out assessments for personal independence payment (PIP) and/or the work capability assessment (WCA).

Earlier this month we revealed that a report which the DWP had kept hidden for over three years showed that over half of all PIP/WCA assessors leave within their first year.

The report suggested that the DWP consider using midwives and pharmacists to make up some of the shortfall.

We said that we would not be surprised to see trials of this suggestion begin before the year is out.

In reality, a Freedom of Information request by Benefits and Work has shown that assessment companies are already pharmacists to carry out assessments. 

The table below gives the number of each type of health assessors employed by private contractors in October 2025.  Numbers have been rounded to the nearest 10 and an asterisk denotes fewer than ten – but more than zero.

hcp-professions.png

The table shows that the vast majority of assessors are nurses, though the DWP say that the companies do not tell them the proportion of different types of nurses, for example specialist mental health nurses, they employ.

But the figures make clear that both Capita and Serco employ around 20 pharmacists and that, in addition, Capita employ a very small number of speech and language therapists.

The figures do not say whether these staff are employed to carry out PIP assessments or WCAs or both.  But given that the report detailed above stated that paramedics were only employed to do PIP assessments, this may well be the case for pharmacists and speech therapists too.  (We are making further enquiries).

There is no doubt that both professions are registered healthcare professionals.  But then, according to the Health and Care Professions Council, so are:

  • Art therapists
  • Chiropodists
  • Dietitians
  • Hearing aid dispensers

As recruitment problems persist for the assessment companies, what is the likelihood that they will turn to some of these other, very narrowly specialised, professions for staff? 

There were almost 794,000 registered nurses in the UK at September 2025. The fact that assessment companies are having to turn to pharmacists and speech therapists to fill vacancies, says a great deal about the reputation and nature of the work these companies undertake.

And, for claimants being assessed by an increasingly wide, and not necessarily appropriate range of healthcare professionals, the PIP and WCA decision making process must seem ever more of a matter of chance rather than law.

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  • Thank you for your comment. Comments are moderated before being published.
    · 12 days ago
    Can you imagine how much these "Health Professionals" are getting paid if they're choosing to give up their already highly paid career that they have studied for years to become?? 🤔

    No career driven "Professional " would swap jobs for less money. That's for sure! 
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    · 13 days ago
    It is so unbelievably ridiculously bizzare that all of this is even up for discussion in 2026 ! It's blatantly obvious that a person being assessed for physical, mental impairment or disfunction..or Challenging health issue, etc should obviously be assessed by "a professional" who has knowledge of a substantial amount of all of these issues Otherwise how can it be fair? Unfortunately there aren't many, if any, So it's pot luck I'm afraid, the government is looking for thousands of assessors so there's got to be a few radiographers, art therapists and chiropodists thrown in (no offence meant I'm sure some are worldly wise to a lot of issues claimants are trying to live with) 
    Which I'm sure il get at my review Im 65 and suffer with EUBPD, not an easy one I can tell you, try being in my head! 

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    · 13 days ago
    Capita in the Midlands have started using Speech & Language Therapist for PIP assessments.  An acquaintance (who is Autistic) recently had a PIP phone assessment (I was present).  The HP didn't have a clue about Autism - the HP assessment report was bizarre...all neurotypical assumptions about a person who isn't neurotypical!  The assessment took just 18 minutes and resulted in nil points!  A Mandatory Reconsideration has been submitted and, if that is unsuccessful, the case will go to Tribunal of course. 
    • Thank you for your comment. Comments are moderated before being published.
      · 11 days ago
      @Nick Abbotts Sorry to hear that, but sadly not surprised.

      In my case a Speech and Language Therapist might of been of better use!  I scored zero for eating and drinking on my PIP review when I have been diagnosed with dysphagia (swallowing problems) by such a professional! I've also posted a Mandatory Reconsideration this morning, and might also end up at a Tribunal.
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    It's a few years since my son had his assessment. His assesssor was a physiotherapist - which might be ok if the claimant has a physical disability but my son has Epilepsy and Autism. It was clear that the assessor had little idea what the effect of regular seizures was, she knew nothing about the type of seizure that my son suffers from and worst of all had no experience of Autism and no understanding of the impact of the two conditions together. Like many others his report was full of untruths and invented 'facts'.
    No surprise, he was awarded nothing on either living or mobility components. We requested an appeal, backed by his consultant, paperwork completed with assistance from your excellent guidance - and it never got that far as the decision was reversed in advance and he was awarded enhanced rate on both components without further consulation.
    To use assessors with little knowledge, experience or specific interest in the claimants condition is surely just wrong. Doesn't there need to be a high degree of empathy and understanding to ensure that a decision can be made fairly with complete transapency on both sides? I do wonder how a pharmacist, speech therapist or, as in our case, physiotherapist can have sufficient all round experience of dealing with the whole range of disabilities to truly make accurate assessments. In my opinion it needs more than background knowledge or degree level education to reach such life changing decisions. Surely consultant(s) and specialist medical teams are much better placed for this task?
    That's not, of course, to undermine the fantastic work that these professionals do - but maybe they just lack the more targetted experience that's required?
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    I had a telephone assessment by a Capita employee, I can't say what profession they were but I can without doubt say the report was full of absolute lies. My pip went from max everything to 0 on everything. 
    I came out of hospital after my eighth knee operation to this awful news which sent my mental health spiralling out of control, if it hadn't been for my loving husband I would have taken my own life. However with lots of help I did take it to tribunal who awarded me the upper tear for living and mobility. 
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    Pharmacists are extremely highly trained, far more so than a lot of the dross capita and co have been employing so I have no issue with them.  Speech therapists however. 
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    I think the problem is not the qualifications of te assessors but the script they have to work to.  If you have read several assessment reports, as I have, you will notice a pattern and a number of phrases that are clearly cut and paste jobs from some guidance or other.  Add to that the fact that currently >90% PIP assessments are conducted over the phone and no wonder claimants feel no-one is listening.
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    I claim PIP and I used to be an Speech and Language Therapist. I would not have wanted to be a PIP assessor but I think I would have been very good at it. We have degree level education, and background learning in many different conditions eg. stroke, autism, hearing impairment, learning disability, MS, Parkinson’s (to name but a few). We are trained to be objective in assessment and report writing, trained in basic therapy skills  and should be great communicators with knowledge on how to adapt. Surely all the professionals named and used are given some basic PIP training which on top of our already learnt skills should be easily acquired. What level of education and knowledge do PIP assessors usually have?  The one who wrote my first ever report wrote it about another person!! As an NHS therapist I was also used to working under great stress and demand. Waiting lists never disappeared. I think people can be very narrow minded about what NHS jobs entail. Speech therapists field is far from narrow -we don’t just fix lisps! 
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Kathryn Bond You sound like a very sensitive, intelligent caring, professional lady,I have a personality disorder which is very complex I'm 66, female. Emotionaly unstable borderline personality disorders are difficult to understand,  for many doctors, as each person is different, I have learnt to mask mine over years and can appear perfectly okay or normalish,when I'm struggling badly inside, I stupidly assumed at 1 review a few years ago that I had that the assessor understood personality disorders and went rabbiting on about car engines as I sometimes tend to talk a lot when nervous, but I ended up getting no points and her summing up was that I was fine etc, people who understand about personalty disorders are mainly only doctors who specialise or professionals who train in that very difficult to understand feild. So I'm dreading my review, as I really wouldn't like to be assessed by a pharmacist or a speech therapist, I'm sorry no offence, but you may be excluded as I think I may feel okay if it where you assessing me. :-)(I re applied and did eventually get awarded 12 points with the help of my close freind) 
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Kathryn Bond But you would be following a set series of questions provided by the DWP. Not free to assess fairly...
      Immaterial which branch of speciality you are in, you would be a box ticked...
      And told to err on the side of DWP.
      You really seem to think this job is to help people...
      Sadly, it's purpose is to hinder the advancement of claims, forcing the majority into compromise, and the uncompromising into tribunals.
      I wish you luck if you ever follow this route... Either as assessor or claimant.
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Kathryn Bond Well said, Kathryn.  It is not the education but the understanding/imagination/empathy that make a good assessor.  I wouldn't do the job for anything.  I think the problem is rather the DMs at the DWP.  How many of their decisios are overturned at appeal???
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    So how does a speech therapist understand the plight of someone with physical disabilities and how does a physiotherapist understand the plight of someone with mental health issues? 
    This is actually quite concerning 
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      · 13 days ago
      @Duncan Yes it is Duncan, "very very very.." ("Actually quite concerning") 
      Its truly bizzare! It's ruddy highly Alarming! 
  • Thank you for your comment. Comments are moderated before being published.
    · 13 days ago
    If Reform get into power it will increase poverty and we’ll end up going back to a Victorian Britain! 
  • Thank you for your comment. Comments are moderated before being published.
    · 19 days ago
    Given that many claimants are under the care of specialist consultants for a whole range of conditions, it's nonsense to give under qualified randoms authority to judge how these conditions affect our daily lives. If dwp is not going to use proper medical assessors, then people we know and live with, and who care for us, would have a better idea.

    It's more important now than ever to keep updated a file of our medical records, and to get a copy of the assessor's report, so we can expose the discrepancies.
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @robbie 100% 
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    · 19 days ago
    Now even more of a farce than it was, These assessments need scrapping they are waste of money ,and unfair to those being assessed 
    • Thank you for your comment. Comments are moderated before being published.
      · 14 days ago
      @tom But how could they tell who needs PIP and who doesn't?  I'd rather see fair assessments by real medical professionals, than the awful target driven sham we have at the moment. 

      I.e someone knowledgeable in mental health knows that you can have good days and bad days, whereas the current assessors will often decide that you've fine because you get out of the house once a month. 
  • Thank you for your comment. Comments are moderated before being published.
    · 20 days ago
    The other thing is that Reform will look to repeal the Equalities Act. I won't go into detail but I'm not sure it's beneficial for the disabled cohort, Reform will see them as low hanging fruit.
    • Thank you for your comment. Comments are moderated before being published.
      · 19 days ago
      @Dave Dee Yeah Reform want more disabled people to get jobs. While at the same time Reform want to make it legal for employers to discriminate against disabled people, not have to make adjustments, and not prevent harassment. And for that matter service providers from shops to public transport. Although I think Reform probably see getting rid of the transgender and race discrimination aspects of the legislation as appealing to their voters. 
  • Thank you for your comment. Comments are moderated before being published.
    · 20 days ago
    How a speech and language therapist is able to correctly assess the daily activities and mobility of people with neurological conditions, cancers, arthritis and mental health is beyond me, and beyond their scope of practice. 

    Never mind Pharmacists, they are trained in minor medical conditions as advertised by Pharmacy First throughout the nation; painful throat, female UTIs, shingles etc. They are not trained to assess complex conditions. 

    These two professions have a valuable input into the general healthcare system, but as stand-alone professionals they are very niche and don't work for a one-size-fits-all disability benefit. 
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Steve I wonder what you think pharmacists are learning in their 4 year degrees and 1 year's professional training.  I'd say they (we!) are far better qualified than physios or OTs, especially when it comes to mental illness.  
  • Thank you for your comment. Comments are moderated before being published.
    · 20 days ago
    Just read Jenrick's statement in relation to PIP and mental health....if there's a reform/Tory coalition at the next election (highly likely) then the disabled will be forced into unsuitable work or lose UC. And PIP may be combined with UC with the sanctions regime....and Labour will try to mimic this in the hope they are not decimated in 2029
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Von66 Ha ha ha ha ha, :-)sorry I had to laugh at the "modern day workhouse" as it may be the case if reform get in or even if starmer stays! 
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @John Be very interesting to hear from employers on this matter. Who exactly is willing to offer employment to under par, unreliable individuals. It's ridiculous. Unless govt is proposing to bring back a modern version of the workhouse. Nothing would surprise me.
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @John Absolutely disgusting that woman. Abhorrent statements she made. 
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      · 13 days ago
      @John I don't think she said that about Schizophrenia 
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      · 19 days ago
      @Matt I do not see much difference between Reform's rhetoric on mental health and Labour's. Liz Kendall when she was DWP minister said PIP was never intended for mental health conditions and that work is good for people with mental health conditions, including those with severe mental illnesses like Schizophrenia. While current DWP minister Pat McFadden has said he doubts people with mental health or neurodiverse conditions should be off work. And said he thinks people off work due to mental health, depression, anxiety should be given support into work not money. 
  • Thank you for your comment. Comments are moderated before being published.
    · 20 days ago
    Not one phychiactric nurse or mh professional? I've had physiotherapists 3times now for mental illness
  • Thank you for your comment. Comments are moderated before being published.
    · 20 days ago
    Well don't forget after the healthcare not so professional you have the DM doing the Prognosis. Seems fit cut his money enter them into the next Olympics jumping hurdles they'll be fine. Next. 
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    · 21 days ago
    Related to this thread, I have now had four occupational health assessments in the past year, none of whom have more than a basic medical background. My employers are not impressed. If the Government and employers want properly trained, medically qualified assessors, then they will have to cough up the money to employ them. Nothing ever comes out well doing it on the cheap.
    • Thank you for your comment. Comments are moderated before being published.
      · 19 days ago
      @Jj Yes this is true but I like that line anyway :)
    • Thank you for your comment. Comments are moderated before being published.
      · 20 days ago
      @James They are not paid peanuts though.  Good wages just awful job, stuffing people!
    • Thank you for your comment. Comments are moderated before being published.
      · 20 days ago
      @Matt if you pay peanuts you get monkeys!
  • Thank you for your comment. Comments are moderated before being published.
    · 21 days ago
    I was speaking with a senior lecturer from my local university who teaches student nurses and she told me that because there is no guaranteed job for them when they qualify many go on to carry out PIP assessments as an alternative to being unemployed.
    • Thank you for your comment. Comments are moderated before being published.
      · 20 days ago
      @bronc they must love the tyrant politicians we appear to have in west minister, because i very much doubt they would be wanting or caring about doing what is right by the people they assess
  • Thank you for your comment. Comments are moderated before being published.
    · 21 days ago
    My local pharmacist always rolls her eyes at me when I have to tell her that I still get my prescriptions for free due to my benefit exemption, she's always rude to me and has that whole ''there's nothing wrong with you, pull yourself together'' vibe. She's the last person I'd want carrying out my assessment!
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @TheLux Same as your story! 
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @Clay The truth queues up for medicines every day...
      If she doesn't realise this already, as a pharmacist knows what treatments are for, you will make no difference to her outlook...
      Some are sadly beyond the reach of reason...
    • Thank you for your comment. Comments are moderated before being published.
      · 13 days ago
      @TheLux Sorry she is so horrible, but only one exzmple among thousands of lovely, helpful pharmacisits (do you have any idea how much (little) they are paid for their services and how most community pharmacists struggle to keep afloat.  Just go to a diffierent pharmacy. 
    • Thank you for your comment. Comments are moderated before being published.
      · 15 days ago
      @TheLux Ask her why she does that.  The response would be interesting.  It's likely she has been fed misinformation by the right wing rags.  This could be a good opportunity to show her the truth.
    • Thank you for your comment. Comments are moderated before being published.
      · 20 days ago
      @Jonno I use online P2u  (pharmacy 2 u)....  so I don't have to deal with them at all,  you are keeping her in business.
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